Medical University of Lodz, Łódź, Poland (Department of Hygiene and Epidemiology).
Medical University of Gdansk, Gdańsk, Poland (Department of Public Health and Social Medicine).
Int J Occup Med Environ Health. 2019 Jun 14;32(3):363-377. doi: 10.13075/ijomeh.1896.01377. Epub 2019 May 7.
This study aimed at assessment of the perceived barriers and motivators to smoking cessation among socially-disadvantaged populations in Poland. It is hypothesized that different factors can be considered depending on the level of smoking addiction. Therefore, a comparison between light and heavy smokers was performed.
Data collected during the second wave of a cross-sectional study carried out in the Piotrkowski District in October 2016 - February 2017 among 1668 socio-economically disadvantaged persons constituted the source of information for the present study. Barriers and motivators to smoking cessation among daily smokers were identified via face-to face interviews.
About one-third of the studied population admitted to being current daily smokers, almost 75% of whom were heavy smokers. The most common barriers to quitting smoking were related to difficulties in quitting (62%), the lack of willingness to quit (56%), as well as addiction and withdrawal symptoms (craving cigarettes [65%], habit [56%], stress and mood swings [55%]). A significantly higher proportion of such barriers was noted among heavy smokers compared to light smokers (p < 0.05). The following motivations to quit were pointed out by the respondents: available pharmacotherapy (47%), access to a free-of-charge cessation clinic (40%), and encouragement and support provided by their doctor (30%), with no differences between various levels of smoking addiction (p > 0.05).
Developing effective interventions targeted at unique deprived populations requires understanding the barriers and motivators to quitting smoking. Social support and financial issues, including free-of-charge pharmacotherapy and cessation clinics, as well as doctor's encouragement and support, are crucial for successful smoking cessation in this vulnerable population. Int J Occup Med Environ Health. 2019;32(3):363-77.
本研究旨在评估波兰社会弱势群体戒烟的感知障碍和动机。假设可以根据吸烟成瘾程度考虑不同的因素。因此，对轻度和重度吸烟者进行了比较。
本研究资料来源于 2016 年 10 月至 2017 年 2 月在皮奥特尔科夫斯基区进行的一项横断面研究的第二波数据，共纳入 1668 名社会经济弱势群体。通过面对面访谈确定每日吸烟者戒烟的障碍和动机。
约三分之一的研究人群承认是目前的每日吸烟者，其中近 75%为重度吸烟者。戒烟的最常见障碍与戒烟困难（62%）、缺乏戒烟意愿（56%）以及成瘾和戒断症状（渴望吸烟[65%]、习惯[56%]、压力和情绪波动[55%]）有关。与轻度吸烟者相比，重度吸烟者报告此类障碍的比例显著更高（p<0.05）。受访者指出的戒烟动机包括可用的药物治疗（47%）、获得免费戒烟诊所（40%）和医生的鼓励和支持（30%），不同吸烟成瘾程度之间没有差异（p>0.05）。
针对独特的贫困人群制定有效的干预措施，需要了解戒烟的障碍和动机。社会支持和经济问题，包括免费药物治疗和戒烟诊所，以及医生的鼓励和支持，对于这一弱势群体成功戒烟至关重要。国际职业医学与环境卫生杂志。2019;32(3):363-77.
